Individual provider Active NPI

Catherine M Klima, LCSW

  • Clinical Social Worker
  • Willow Springs, IL
National Provider Identifier
1073564332
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009990 Issued in IL
Practice address
171 Santa Fe LN
Willow Springs, IL 60480-1624
Phone
(708) 425-8900
Fax
(708) 425-9612
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009990 IL Primary

Addresses

Primary practice location

171 Santa Fe LN
Willow Springs, IL 60480-1624

Mailing address

171 Santa Fe LN
Willow Springs, IL 60480-1624
Phone (630) 601-8660

Other identifiers 1

IdentifierTypeStateIssuer
01635925OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000469 IL Practitioner - Clinical Social Worker 6406861855 Reassigns benefits to 1 organization
Practice locations: Willow Springs, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

171 Santa Fe LN
Willow Springs, IL 60480-1624
Phone (630) 601-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Zen Therapy Room LLC Clinical CurrentSince Jul 1, 2022 Accepting new patients
Harshad M. Mehta MD SC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1073564332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SANTA FE LN",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801624",
            "telephone_number": "630-601-8660",
            "fax_number": "248-699-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SANTA FE LN",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801624",
            "telephone_number": "708-425-8900",
            "fax_number": "708-425-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMA",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635925",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, IL

Sources for this page

Verify at the official NPI Registry.